Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $48.98 / $48.98	Facility	26	$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $204.17	Professional		$70.79	$91.20	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $54.95 / $131.83	Professional	26	$38.90	$54.95	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $42.66 / $83.18	Professional	TC	$26.30	$42.66	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $213.80	Professional		$77.62	$120.23	$213.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $61.66 / $104.71	Professional	26	$39.81	$61.66	$104.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $56.23 / $102.33	Professional	TC	$35.48	$56.23	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $186.21	Professional		$87.10	$109.65	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $61.66 / $91.20	Professional	26	$48.98	$61.66	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $56.23 / $95.50	Professional	TC	$32.36	$56.23	$95.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $234.42	Professional		$79.43	$125.89	$234.42
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $66.07 / $123.03	Professional	26	$48.98	$66.07	$123.03
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $67.61 / $125.89	Professional	TC	$48.98	$67.61	$125.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $234.42	Professional		$77.62	$109.65	$234.42
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $61.66 / $128.82	Professional	26	$44.67	$61.66	$128.82
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $52.48 / $93.33	Professional	TC	$26.92	$52.48	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $173.78	Professional		$77.62	$102.33	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $63.10 / $89.13	Professional	26	$43.65	$63.10	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $47.86 / $85.11	Professional	TC	$28.84	$47.86	$85.11